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Faisal K
@fkhan17
India
Inglés, Hindi
Sobre mí
I am a professional data analyst with 5+ years of hands-on experience working with large, complex datasets across healthcare RCM, claims, and operations.
-Build automated, interactive dashboards in Power BI & Excel
-Perform robust data cleaning, validation, and discrepancy analysis
-Write and optimize SQL queries for database extraction and reporting
-Conduct in-depth healthcare claims, billing, and KPI analysis
-In-depth tracking of DAR, FPS/FPR, Clean Claim Rate (CCR), Denial Rates, Gross/Net Collections, and AR aging buckets.
Habilidades
Faisal K
desconectado •
Revisa mis servicios
Panel de datos
I will do medical billing of rcm for US healthcare system
Experiencia laboral
US Healthcare RCM & AR Specialist | Claims Recovery & Analytics Expert
Upwork • Tiempo completo
Jun 2021 - Present • 5 yrs 4 mos
I help US healthcare providers, medical billing companies, and group practices reduce aging AR, resolve denials, and accelerate cash flow through end-to-end Revenue Cycle Management (RCM) and data-driven reporting. 🧾 End-to-End Revenue Cycle Management (RCM) - AR Follow-up & Aging Recovery: Resolving 30, 60, 90, and 120+ day aging claims. - Denial Management & Appeals: CARC/RARC analysis, medical necessity appeals, and root-cause resolution. - Claims Processing: Clean claim submission to reduce payer rejections. - Charge Entry & Coding Review: ICD-10-CM, CPT, HCPCS, and modifier compliance. - Eligibility & Benefits (VOB): Authorization, coverage, and deductible verification. 📊 Advanced Analytics & RCM Reporting - KPI Dashboards: DSO, denial trends, collection rates, and performance tracking. - Aging Analysis: Prioritizing high-value claims and timely filing limit (TFL) risks. - Custom Reporting: Identifying trends by payer, provider, and denial category. 🧾 EHR, PM Platforms & Clearinghouses - Billing Systems & EHRs: NextGen • WebPT • DAQ Billing • Epic - Clearinghouses & Portals: Availity • TriZetto • Change Healthcare • FinThrive • Claim.MD • Emedix 🔹 Payer Experience - Government Programs: Medicare • Medicaid • Medicare Advantage • TRICARE - Commercial Payers: UHC • BCBS • Aetna • Cigna • Humana • Other commercial payers 📈 Key Outcomes - Reduced Aging AR: Focused recovery of outstanding 90+ day balances. - Improved Clean Claims: Fewer rejections through proactive claim review. - Root-Cause Resolution: Identifying recurring denials and improving workflows. 📩 Ready to clean up your AR backlog or streamline your billing? Send a message with your current software and volume, and let's get your revenue cycle running efficiently.
